Impact of cesarean section scar on decision regret and body image: a cross-sectional study

Physical changes and scarring after cesarean section may negatively affect women's body image. Combined with decision regret about the mode of delivery, this may cause psychological problems. The aim of this study was to examine the effects of cesarean scars on decision regret and body image in women with cesarean delivery.

This descriptive and cross-sectional study was conducted in Turkey between February and May 2025. A total of 219 women with a history of cesarean delivery voluntarily participated through an online survey. Data were collected using a personal information form, the Decision Regret Scale, and the Body Image Scale. Statistical analyses were performed using Statistical Package for the Social Sciences 22.0 software, including descriptive statistics, t-test, analysis of variance, correlation, and regression analyses.

The mean age of participants was 34.90±7.96 years, and the mean time since the first cesarean was 9.38±8.31 years. The mean Decision Regret Scale score was 22.46±20.12, and the mean Body Image Scale total score was 50.22±16.71. Decision regret and body image significantly differed according to perceptions of scar appearance and its impact on body perception, social life, and psychological well-being (p<0.05). Regression analysis indicated that negative perceptions of scar appearance were the strongest predictor of decision regret (B=15.42, p<0.001).

Cesarean section scars may negatively affect women's body image and increase decision regret regarding the mode of delivery. Healthcare professionals should be aware of these psychosocial consequences and provide appropriate counseling and support services for women after cesarean section.